NPIMap

Individual provider Active NPI

Denise Miller

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1942609532
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP014067 Issued in PA
Practice address
33 E Chestnut Hill Ave
2ND Floor
Philadelphia, PA 19118-2713
Phone
(215) 615-5454
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP014067 PA Primary

Addresses

Primary practice location

33 E Chestnut Hill Ave
2ND Floor
Philadelphia, PA 19118-2713

Mailing address

33 E Chestnut Hill Ave
2ND Floor
Philadelphia, PA 19118-2713
Phone (215) 615-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141014001042 PA Practitioner - Nurse Practitioner 5193946283 Reassigns benefits to 1 organization
I20150825004903 NJ Practitioner - Nurse Practitioner 5193946283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E
Cherry Hill, NJ 08003-2013

1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535

1865 Route 70 E 210
Cherry Hill, NJ 08003-2013

1865 Route 70 E 220
Cherry Hill, NJ 08003-2013

1865 Route 70 E 260
Cherry Hill Vas Surg
Cherry Hill, NJ 08003-2013
Phone (215) 662-2069

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

230 W Washington Square
101 Plastic Surgery Pah
Philadelphia, PA 19106-3500
Phone (215) 829-6320

3205 Fire Rd
Egg Harbor Township, NJ 08234-5884
Phone (215) 349-8222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP014067PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 28, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 28, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 1, 2015 Accepting new patients

Locations

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

230 W Washington Sq
Ste 101
Philadelphia, PA 19106
Phone (215) 829-6320

3400 Spruce St
Fl 3
Philadelphia, PA 19104

33 E Chestnut Hill Ave
Ste 201
Philadelphia, PA 19118
Phone (215) 247-0900

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

33 E Chestnut Hill Ave
Fl 2
Philadelphia, PA 19118
Phone (215) 615-5454

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1942609532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E CHESTNUT HILL AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182713",
            "telephone_number": "215-615-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E CHESTNUT HILL AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182713",
            "telephone_number": "215-615-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP014067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.